Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
COM 0633.002 2020-2022
+:�tYOFk4 . Mitchell D.Roth •�t;`�� Deanna S. Sako Mayor K Director '•.+j�.+ ;A—eV oF to' ?F Steven A.Hunt Deputy Director County of Hawaii Finance Department 25 Aupuni Street,Suite 2103 • Hilo,Hawai`i 96720 .: .. (808)961-8234 • Fax(808)961-8569 r March 10, 2022 Maile Medeiros David, Council Chair and Members of the Hawai`i County Council4-0 '" Hawaii County Council :ter. 25 Aupuni Street Hilo, Hawai`i 96720 r� - Re: Nonprofit Grant Applications This is to transmit a revised list of Nonprofit Grant Applications, including five Nonprofit grant applications from the Homeless Task Force and the Homeless Task Force dba 808 Homeless ,Task Force for inclusion in the applications previously submitted for the Council's consideration. Homeless Task Force and the Homeless Task Force dba 808 Homeless Task Force applications were timely submitted,however there was some confusion regarding the organizational Articles of Incorporation and the documents necessary to support the requirement that the organization is • chartered or otherwise authorized to do business in the State for charitable purposes and exempted from the Federal income tax by the Internal Revenue Service. Further clarification was also required for the nepotism policy submitted by the organization. Upon review and discussion, the issues were resolved. Per our discussion with the office of Council Member Susan Lee Loy, Human Services & Social Services Committee (HSSSC) Chair, and in compliance with Chapter 2, Article 25 of the Hawai`i County Code, I am submitting a revised list of the organizations and applicable information, and five Nonprofit Grant applications from Homeless Task Force and the Homeless Task Force dba 808 Homeless Task Force for your review and appropriation of funds for the FY 2022-23 nonprofit grant program. Should you have any questions,please feel free to call Lisa Tada at 961-8489. Deanna S. Sako Director of Finance Enc. Homeless Task Force and the Homeless Task Force dba 808 Homeless Task Force Applications for Nonprofit Grant Funds ..33 2- Revised List of Nonprofit Grant Applicants Comm. No. Ref.To: IA SSSG Ref. Date MAR 1 0 2027 Hawai'i County is an Equal Opportunity Employer and Provider County of Hawaii Nonprofit Grants-in-Aid Program FY 22-23 Organization Information Organization Name: Homeless Task Force Contact Person: Regina Weller, Executive Director Contact Email: 808htf@gmail.com Contact Phone: 808 315-4158 Program Information Program Name: Fab Rehab Program Program Years in Operation: 2 Other County grants/agreements:Yes Previously received County GIA:Yes Program Geographical Reach: North and South Kona Program Target Audience:Young Adulthood (18-39), Middle Adulthood (40-59), Kupuna (60+) Services/Activities Provided: Needs of the poor, Public health and welfare of the people and the environment,Youth,Aged, Physical/Emotional Disabilities,Victims of Crimes,Victims of Health or Social Crises Amount Applying For:$30000 Homeless Task Force-Fab Rehab Program I Page 1 Program Details Organization Mission:The Mission of the Homeless Task force is to decrease the number of homeless living on the streets in Hawaii through our Outreach and Engagement efforts, providing each individual with a specific vision for change, and a productive pathway back into mainstream society,where possible. We offer safe haven options of: housing, referrals to drug and alcohol rehabilitation, and return home to families of origin, along with inclusion of miscellaneous practical agents to promote positive change. Program Overview: Fab Rehab Program: Through Outreach efforts, Homeless Task Force (808HTF)staff will focus on a search for 15 unhoused individuals in West Hawaii who express a willingness and a need to enter a drug and alcohol rehabilitation setting. As there are limited_rehabilitation facilities on Hawaii Island to address this dire issue, we must pursue facilities that are located Inter-Island and beyond to address the problem and cover costs for travel, airfare and other miscellaneous items that can promote a change out of the dangerous addictive lifestyle. Our goal and objective is to encourage and guide program participants into a safe recovery setting where a productive life can be realized, and hope and dignity is restored. Program Objectives & Performances Resources Needed: In the last 6 months of 2021,we placed 5 individuals into residential recovery facilities through our program.We now need substantial funds for the hiring and training of new outreach workers to meet the challenges of increased numbers of homeless in our communities. Boots- on-the-ground staff are necessary to make connections with 15 potential clients and to promote this program into the homeless camps where addiction prevails. It is NOT enough just to do a homeless count. We need funding to purchase virus informational pamphlets, hygiene kits, masks, equipment, supplies, and essentials to advance and elevate the program's usefulness, and to link with this vulnerable population. A dedicated data entry person is needed who is familiar with HMIS and CES systems(or can be trained),that give indicators of clients adherence to the Program and rates of overall effectiveness of staff, and the Fab Rehab Program in itself.Adjustments and improvements can be made accordingly. Major Activities to be Completed: Homeless Task Force workers conduct Outreach in West Hawaii,with focus on individuals who might want to pursue a recovery option.At Outreach we make the connection and make on-the-spot assessments to meet their most immediate needs and distribute care packages. Police advisement regarding potential candidates is reviewed. Referrals are made to Residential Treatment Facilities locally, inter island and the Mainland, with phone contact to secure client placement and scheduling.This is case management and labor intensive, due to participants' on-going struggle to accept new conditions and structure. Appropriate placement for the client is decided, followed by applications and collaboration with various rehab facilities. This includes in-house Homeless Task Force-Fab Rehab Program I Page 2 residential treatment, lop (dual diagnosis program), and day treatment programs. Residential rehab entry fees are paid, along with costs of travel, airfare, baggage, and apparel. Client transportation/escort to airport is provided. Outputs to be Completed: In the 808HTF Fab Rehab Program, 3 Caseworkers will assist and guide 15 unhoused participants with enrollment in residential recovery programs in the area and beyond,to meet the greater need. Partnerships will continue to be developed and strengthened with other social service groups and with Drug and Alcohol Rehab Facilities. Meetings are established on an on-going basis with crisis nurses and workers, and community police officers who are most familiar with transients in their jurisdiction. 808HTF meetings with the County Prosecutors office can be effective in offering advisement of goals and parameters for repeat offenders, and it affords opportunities for placement in recovery options rather than more incarceration time. Information will be placed in data entry to measure success rates,case worker effectiveness, and for overall assessments, and give indicators of the Program's value to the community at large. Measurable Outcomes: Lives are changed when people are moved from the bleak and dangerous circumstances of addiction and guided into a recovery atmosphere. When clarity is renewed, hope is restored. Residents and businesses also are relieved and optimistic when the homeless numbers are down, and when annoyances and crime from familiar perpetrators suddenly changes into a peaceful setting because the unhoused offender has accepted the offer of recovery. The Program participant moves on to a new territory by voluntary entry into a rehab facility. All the networking and collaborating resources are more confident in their behavioral skills and strengthened in their working relationships, and by the success of the client who accepted services. Safety,stability and security is evident and appreciated by the individual and the community at large. Attachments Program Budget(Income& Expenses) Certificate of Understanding Conflict Disclosure Homeless Task Force-Fab Rehab Program J Page 3 Option Section -Tracking CHANGE & Ripple Effect Program Alignment with CHANGE Framework Community&Economy: Increases community safety, Increases community capacity to adapt and/or be self-sufficient Health&Wellness: Improves access to mental/behavioral health services Arts&Culture: Natural Environment: Government&Civics: Education: How Program Advances CHANGE:There is increased crime and violence in West Hawaii largely due to an influx of homeless individuals with unaddressed alcohol and drug addiction issues. Unfortunately there are limited recovery resources on the Island for them. Residents,the business sector, medical clinics and facilities, police officers and the general public are negatively impacted by the addictive lifestyle ever present in the surrounding community. Confrontations, pan handling, public disturbances and violent behavior frequently meet up with the general public who are merely going about their daily lives. Any turn to a recovery setting for an unhoused addict, can greatly lessen negative outcomes to both the individual and the public at large. It is imperative to meet the need by advancing Fab Rehab,a program that offers Outreach, assistance and referrals to this vulnerable target group. We encourage change, and promote avenues into facilities where recovery principles are foremost and sobriety is attainable. 808 HTF advances CHANGE for the willing participant into a professional protective setting either inner island or beyond that promotes a sober mindset and positive outcomes such as possibility of employment ventures and reconnection with family. It also lessens the burden imposed on the public: with each entry into a recovery facility, crime is decreased, police and ambulance calls and hospitalization are minimized. Recovery supports the infrastructure and the economy. Homeless Task Force-Fab Rehab Program I Page 4 • Program Budget Form: Income County of Hawaii • Nonprofit Grant-in-Aid (Waiwai Grant)–Fiscal Year 22-202,3 _ /� ,'dam `'�-� Organization Name.f�`��i IMtr�/��' �'' A 4z5- Program Name: fCA4 A4/.4 r4.. CASH Anticipate Committed Total County Nonprofit Grant-in-Aid (Waiwai Grant) .2 7, s- 7 ,,fid Applicant organizational budget: Individual contributions Membership fees Earned income Current cash assets Other funding sources(list below): 6- 71-- f - root 3 epeoj 3.2. dQ1, 1 . Total Cash Income S 43-6 f, J3Z5 IN-KIND CONTRIBUTION Anticipated Committed Total Total In-Kind Contributions 4 TOTAL.PROGRAM INCOME S.9 675 i Appendix D--Budget Sheets(Page 2 of 2) --1 tin c -0 .7", cur > •-i it 11 te S, ..gi f 4 '2,, 0) a a " 0all a) = —. -0 --i t.,4 ti g, ,..,. ,,,„! --! . 03 __, . ' (DP3 > 0O. .. 4„s D m m CD in 3 fr.',' rs E CD in CD Q.1.1) vs m -os ,-. — a 3 0 = N,.'"'it 1. k k 1 ' •.) ‘`' ‘.6.)-i- P 5 "a; z _. tn eL ra, tir tt iz, w t,. -------• ...-; 0.1 .:1,* l'‘ (e) tl‘ CI t CI\ ei %Gt.4f) c 4 .,-t. t1 li:w tO t, CI e,t. U tx izIts tl, ti 0, tv to to igg =- % ^-1! ti. .. O (1 4t's z — ... 51 = I WM -% 0 . N.) C -5 ‘Al faJ O ') 'N 44 0 Lt.3 tl MP IZNe ti t. Ch. 14 Q % 51 I>. tir 14,01 tiC te te -ity ta, N...sh I) . 11 (1.1(4 7\--- County Qf, � ApplicationFY ����� ��� � ^ �^�vv"� � �`w���u� �u�� . _w��-�� Agency Name: ///m,e4s--,-5-- ,��' a/.4- Af7/48//€46s-/# 74;;Pce— . Program Name: r‘4717 ; / u��� �' e~� wr ORGANIZATION CONFLICT DISCLOSURE V%U KRE FORM Please disclose any conflicts or potential conflicts of interest that any board member, officer, director, or administrator of your organization may have with the County of Hawvayi Only those listed below need to be disclosed. One form per person with a conflict is needed. If no conflicts exist, one form for the organization,with the "No conflicts exist" option checked needs to he submitted. Please duplicate as needed to fully disclose. A/I disclosure forms must be siqned, reqardless of whether a conflict exists. NAME: POSITION: May have a conflict or potential conflict of interest, including any familial relationship,with any of the following(check all that apply): F—1 Member or members of the Council [-- Staff appointed by a member of the Council | | The Mayor Ej The Managing Director �� �� The Director of Finance E The Corporation Counsel,the Assistant Corporation Counsel, or a Deputy Corporation Counsel Conflict of Interest is defined as:a substatial probability that action token by an individu /willnesult in measurable direc benefits accruing to the individual as opposed to benefits accruing in general to an industry. Please specify any and all mitigation measures to avoid, in fact or appearance, any conflicts or potential conflicts of interest: w� If no conflicts exist, check here. J2�� 2r � - Signature of Authorized Person (specify title) / ate ���� ~ County of ^^ Nonprofit Grant Application FY 2022-23 /Agency Name M Program Name: ri Certification of Understanding ( 1 of 2) I (we) have read and understood all of the eligibility requirements;grant conditions; award procedures and records, reporting, and fiscal accountability requirements as mandated in Article 25, Sections 2- 135—2-142.1, Hawaiii County Code, relating to Appropriation of Funds to Nonprofit Organizations. I (we) agree to allow the County (the Legislative Auditor, the Department of Finance, designated Council representative,or expending/oversight agency) full,free,and unrestricted access and authority to examine and inspect any facility, equipment, property, or records pertinent to the grant, contract, or program for which funds were used. I (we) hereby certify that information supplied herein, including all supporting documents, is correct and that I (we) have the authority and ability to fully administer the program(s) pursuant to law. I (we) understand that information supplied herein shall be made public according to Chapter 92F, Hawaii' Revised Statutes. I (we) understand that applications will not be reviewed by County personnel receiving our County Nonprofit Grant submittal, and that we have full responsibility to ensure that all documents are complete and accurate prior to submittal. I (we) understand that all documents requiring a current signature must be the ORIGINAL,SIGNED document. Unsigned documents will be disqualified, Faxed or copied documents will not be accepted as oriinal documents. If awarded a grant from the County of Hawai'i, I (we) understand and will complywith the requirement to enroll with Hawai'i Compliance Express and be compliant prior to receiving payment(s). To register, go to huglivenciors.ehawaii.gov.,complete the easy step-by-step process, and pay the annual registration fee online using a credit card. If awarded a grant from the County of Hawai`i, I (we) understand and will comply with the requirement to submit a year-end report to the County Council within 60 days after JUne 30of the contractual year for which the grant was awarded.The report, using the template provided,shall include an explanation of the public benefits derived from the awarding of the grant(focusing on specific, measurable outcomes),a complete accounting of all expenditures supported by County of HawaVi grant funds, and a listing of other funding sources and amounts obtained during theaward period. Failure to submit a timely, complete, and accurate year-end report, using the template provided, will impact the evaluation of your program's or agency's future funding requests, . ` ^ ... ` . County of Hawai`i Nonprofit Grant Application FY 2022-23 �� /\x� ^�`�_, ___ Agency ' '' - - ' ' ' • Program Nam.e: ra 177 Certification of Understanding .age,2 of 2) If awarded a grant from the County of Hawai'i, I (we) understand that a current Certificate of Liability ($1,000,000 general liabilityeah occurrence) must be provided provided to the County of Hawai'i Finance Department, which specifically and expUcitlyhmdicatesthatthe CountyofHaway| is an additional insured prior to receiving any payment(s). I (we) understand that failure to submit the final report within 60 days of June 30th shall result in loss of all grant funds received during the grant period (must be refunded to County) and exclusion from future grant participation for a minimum of one year or until a written report is submitted to,and accepted by,the council. I (we) understand there is no provision for further notification to submit the final report. Information and instructions are available at 2r,s on or about May 30 of the year the final report is due. As part of this application, you acknowledge that any funds awarded will be restricted for the purposes stated in the application, except for a maximum ten percent (10%)for administrative and overhead costs. Any funds unused by June 30, 2023 must be returned to the Countof Hawai'i with the final report.Failure to return these funds in a timely manner will impact the evaluation of your agency's future funding request and may result in actions taken to recover these funds. Awards cannot provide funds for Capital Improvements (Cost of Construction, materials, insurance or securities)on private properties unless otherwise authorized by law. By signing below,you are acknowledging that you have read and understood these requirements. `�� �./� - �_-~� _ 1/1"/ -.` � ' ° ' _- � 5�natureofAuthohzodPeraon ` / Date ' ��-u�� � ~ � ^��~~� �� �� ~~ / � � -�_~~ , � `_ ..‘-7r Title/Position of Authorized Person • ! ' . -` County of Hawai'i Nonprofit Grants-in-Aid Program FY 22-23 Organization Information Organization Name: Homeless Task Force Contact Person: Regina Weller Contact Email: 808htf@gmail.com Contact Phone:808 315-4158 Program Information Program Name: Return to Work Program Program Years in Operation: 2 Other County grants/agreements:Yes Previously received County GIA:Yes Program Geographical Reach:Captain Cook, Kealakekua, North and South Kona Program Target Audience:Young Adulthood (18-39), Middle Adulthood (40-59), Kupuna (60+) Services/Activities Provided: Needs of the poor, Public health and welfare of the people and the environment,Aged,Victims of Health or Social Crises Amount Applying For:$35000 Homeless Task Force-Return to Work Program I Page 1 Program Details Organization Mission:The Mission of the Homeless Task force (808HTF) is to decrease the number of homeless living on the streets in West Hawaii, providing each individual with a specific vision for change, and a productive pathway back into mainstream society,where possible. We offer safe haven options of: interim and permanent housing, referrals to drug and alcohol rehabilitation, and return home to families of origin, along with inclusion of miscellaneous practical agents to promote positive change. Program Overview: Return To Work Program: Breaking the cycle of homelessness means helping unhoused individuals secure the income that will allow them to ultimately acquire housing, and. maintain it, and stabilize their lives. This 808HTF Program offers case management and promotes and encourages homeless participants to seek and attain employment within their capabilities and skill set. It involves the means to get there through the acquisition of vehicles for motivated clients who wish to pursue employment. This Program can also be helpful to employers who are seeking new hires to fill job positions left vacant by Covid shutdown directives. We are asking for continued funding to advance our existing Return to Work Program,which.has proven successful in recent months by helping 4 homeless participants acquire employment. Job security is the leeway into potential housing for this target population because landlords only want tenants who can prove financial stability on the rental application. Program Objectives & Performances g J Resources Needed:Our organization needs the funding to pay staff to assist 20 Program participants in their pursuit of employment and ensure they are document ready.We contact local employment agencies,the Unemployment Office, and search out newspaper ads, and business help wanted signs, and engage with all aspects necessary for the successful operation of this Program. Clothing is purchased for client interview with potential employers. Our staff will be the link with vehicle acquisitions,to secure pre-owned vehicles for 12 participants. Grant funding is needed for the purchase of the vehicles and to pay applicable DMV fees. We collaborate with Kona Police Department to ascertain legitimacy of auto registration records and Seller ownership, prior to meeting with the Seller. We connect with Auto Mechanic services to check out car reliability prior to purchase, when necessary. Staff assists the client with completing DMV registration and title transfer of documents to the new owner. Major Activities to be Completed: 808HTF staff will: 1)Through Outreach and Engagement, select and help 20 participants who have a desire to work, and make assessment of their job skills,their interests, qualifications,etc., 2)Seek potential employers through employment agencies and other sources. 3) Acquire appropriate clothing for client in preparation for interview.4) Prepare 12 persons to become document ready prior to car search, and vehicle purchase. 5)Schedule DMV appointments regarding renewal of client's drivers license, etc.as needed. 6)Search for vehicles, meet potential sellers, review that DMV documents are current. 7) Pre check vehicle registration through Kona Police Department for Homeless Task Force-Return to Work Program I Page 2 registration status. 8) Engage with auto mechanics regarding vehicle acquisition and check vehicle to ensure driveability, and/or to complete needed repairs. 9) Interact with seller for purchase of car and assist client with DMV transfer of title. 10) Congratulate participant for attaining goals. Outputs to be Completed: Our organization will assist 20 individuals with employment, and assist 12 with the means to get to work. We collaborate with police officers for potential candidates, with employment agencies, and the Unemployment portal of job listings. Clients will be afforded the clothing appropriate for the job, in sync with professional attire and the business environment. Hygiene kits are provided which support physical and emotional self esteem. This interaction brings the unhoused participants out of isolation and despair and back into mainstream society as willing productive members of the community.Self-sufficiency is key to regaining their dignity. Staff follow-up support reduces the rate of recidivism. Measurable Outcomes:Covid factors placed an extensive strain on the Island's business sector, including a substantial loss of employees. Business are still attempting to re-coup from the outcome, and are currently seeking workers and welcoming new employees to fill vacancies. The Return to Work program can facilitate the employers' present pursuit ofr workers. Additionally.our Program promotes employee stability by providing vehicles to enable ready transport to and from work. Our 808 staff also purchases hygiene kits, and monitors inventory and distributes accordingly. Apparel is provided, appropriate and presentable for the employment atmosphere. In the past, our organization presented the keys for 10 vehicles to clients who subsequently secured jobs, enabling a ripple effect of positive outcomes financially and socially for themselves and their families. We remain confident that the participants and the business sector and the community will benefit through our Return to Work Program. Attachments Program Budget(Income& Expenses) Certificate of Understanding Conflict Disclosure Homeless Task Force-Return to Work Program I Page 3 Option Section -Tracking CHANGE & Ripple Effect Program Alignment with CHANGE Framework Community&Economy: Diversify economy, Build income,wealth, assets, Increase housing security/affordability, Reduce or address the cost of living, Builds community network, Increases community safety, Increases community capacity to adapt and/or be self-sufficient Health &Wellness: Arts&Culture: Natural Environment: Government&Civics: Education: How Program Advances CHANGE:Adequate rapid transit for commuters is not a reality on Hawaii Island. The infrastructure for this geographic area is lacking a rapid transit bus system that offers timely commuter transport. What's left is Uber rides, which are expensive for those with limited funds, and are not as available in certain areas. With steep terrain and unpaved roads, it is also difficult for the unhoused person to travel on foot or bike to the workplace everyday, This remains an obstacle in seeking gainful employment which can ultimately support progression out of the homeless lifestyle. As a solution, in 2020, 808HTF began to acquire used vehicles to serve the homeless population and enable them with the mobility to pursue employment. In last 6 months,with the help of County funds,we assisted 4 individuals who found employment after receiving vehicles. It has positively impacted their independence and self esteem,and that of their families. In this current Grant application, our objective is to continue to help others to locate jobs, and assist 12 people with the purchase of vehicles to get to work everyday. Panhandling and continuous government benefits paid out to the homeless community has overburdened the general public and overall economy. This Return To Work Program is headed in the right direction,and at an opportune time in the current job market as employers seek new hires following a long season of business shutdowns. It's a boost for the economy in Hawaii. • Homeless Task Force-.Return to Work Program I Page 4 ' - Program Budget Form: Income County of Hawai`| ° Nonprofit Grant-in-Aid (Waiwai Grant)-Fiscal Year 2022-2023 Organization Name:Homeless Task Force dba 808 Homeless Task Force Program Name:Return To Work Program CASH Anticipated Committed Total County Nonprofit Grant in Aid (Waiwai Grant) 88,400 ' 33/400 Applicant organizational budget Individual contributions 2.570 | 2.570 Membership fees Earned income Current cash assets Other funding source (list below): Hawaii State GIA Grant funds 2022-2023 57.100 57,100 | . . � ' . Total Cash Income 1 83.070 93`070 UN~K|NDCONTR8UTON �nt�|pated Committed Total . � 0 0 . Total In-Kind�nd - Contributions 0 0 TOTAL PROGRAM INCOME 88.070 93.070 Appendix D--Budget Sheets (Page 2 of 2) • / �z� y � '^ Project Budget Form: Expenses - County of Ha '1 ° Nonprofit Grant—in—Aid (Wakwai Grant)—Fiscal Year 2022-2023 Organization Name:Homeless Task Force dba 808 Homeless Task Force Program Name:Return To Work Program ' | Nonprofit Other Cash In-Kind Expense Description (Waiwai) Source ContributionTOTAL Grant � ' | Salary Wages ' 87,000 | 87.000 Professional Fees 1.400 1.400 Operations Supplies 2.570 2,570 Equipment Pre-owned vehicles $4.000 x 12 . 80.400 20,000 50.400 DMV registration fees for 12 vehicles, 1,200 1,200 � . ^ . - , ' | . . SUBTOTAL 34,170 58,400 92.570 TOTAL PROGRAM BUDGET 34,170 58.400 925/0 6.1///v ` . County of Hawai`i Nonprofit Grant Application FY 2022-23 Agency Name: #iiv,e� S" � �- - lf d M c ' "� s- tc � Y Program Name: * r , fir' :zr a" ORGANIZATION CONFLICT DISCLOSURE FORM Please disclose any conflicts or potential conflicts of interest that any board member, officer, director, or administrator of your organization may have with the County of Hawaii. Only those listed below need to be disclosed. One form per person with a conflict is needed. If no conflicts exist,one form for the organization, with the"No conflicts exist" option checked needs to be submitted. Please duplicate as needed to fully disclose. All disclosure forms must be signed, regardless of whether a conflict exists. NAME: POSITION: May have a conflict or potential conflict of interest, including any familial relationship,with any of the following(check all that apply): C Member or members of the Council E Staff appointed by a member of the Council n The Mayor E The Managing Director The Director of Finance n The Corporation Counsel,the Assistant Corporation Counsel, or a Deputy Corporation Counsel Conflict of Interest is defined as:a substantial probability that action taken by on individual will result in measurable direct benefits accruing to the individual as opposed to benefits accruing in general to an industry. Please specify any and all mitigation measures to avoid, in fact or appearance, any conflicts or potential conflicts of interest: sl If noconflicts exist, check here. . GLS Zor-ec-4tc / �,a -�-- Signature of Authorized Person (specify title) ate County of Hawai`i Nonprofit Grant Application FY 2022-23 . Agency Name: / v'i / -r .. SS- �� Program / - 1T Apr� � Into - Certification of Understanding (Page 1 of 2) I (we) have read and understood all of the eligibility requirements; grant;conditions; award procedures; and records, reporting, and fiscal accountability requirements as mandated in Article 25,Sections 2- 135—2-142.1, Hawaii County Code, relating to Appropriation of Funds to Nonprofit Organizations. I (we) agree to allow the County(the Legislative Auditor,the Department of Finance, designated Council representative,or expending/oversight agency)full,free, and unrestricted access and authority to examine and inspect any facility, equipment, property, or records pertinent to the grant, contract, or program for which funds were used. I (we) hereby certify that information supplied herein, including all supporting documents, is correct and that I (we) have the authority and ability to fully administer the program(s) pursuant to law. I (we) understand that information supplied herein shall be made public according to Chapter 92F, Hawaii Revised Statutes. I (we) understand that applications will not be reviewed by County personnel receiving our County Nonprofit Grant submittal, and that we have full responsibility to ensure that all documents are complete and accurate prior to submittal. I (we) understand that all documents requiring a current signature must be the ORIGINAL,SIGNED document. Unsigned documents will be disqualified. Faxed or copied documents will not be accepted as original documents. If awarded a grant from the County of Hawaii, i (we) understand and will comply with the requirement to enroll with Hawai'i Compliance Express and be compliant prior to receiving payment(s). To register, go to http://ire z ors.ehawaii.gov, complete the easy step-by-step process, and pay the annual registration fee online using a credit card. If awarded a grant from the County of Hawaii, I (we) understand and will comply with the requirement to submit a year-end report to the County Council within 60 days after June 30 of the contractual year for which the grant was awarded.The report, using the template provided, shall include an explanation of the public benefits derived from the awarding of the grant(focusing on specific, measurable outcomes),a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete, and accurate year-end report, using the template provided, will impact the evaluation of your program's or agency's future funding requests. County of Hawai‘i Nonprofit Grant Application FY 2022-23 t /4/Of 713.`,Z._ icirc ', ot Agency Name: ,/ #,004 WM. t 71, Program Name: - et—be iv/ Certification of Understanding (Page 2 of 2) If awarded a grant from the County of Hawail, I (we) understand that a current Certificate of Liability ($1,000,000 general liability,$50,000 each occurrence) must be provided to the County of Flawaiii Finance Department,which specifically and explicitly indicates that the County of Newel is an additional insured prior to receiving any payment(s). I (we) understand that failure to submit the final report within 60 days of June 30th shall result in loss of all grant funds received during the grant period (must be refunded to County)and exclusion from future grant participation for a minimum of one year or until a written report is submitted to,and accepted by,the council. I(we) understand there is no provision for further notification to submit the final report. Information and instructions are available at1-11,,,-;:/i\--1. on or about May 30 of the year the final report is due. As part of this application, you acknowledge that any funds awarded will be restricted for the purposes stated in the application,except for a maximum ten percent(10%)for administrative and overhead costs.Any funds unused by June 30,2023 must be returned to the County of Hawaii with the final report Failure to return these funds in a timely manner will impact the evaluation of your agency's future funding request and may result in actions taken to recover these funds. Awards cannot provide funds for Capital Improvements(Cost of Construction,materials,insurance or securities)on private properties unless otherwise authorized by law. By signing below,you are acknowledging that you have read and understood these requirements. cv/a 079,04p-7-- Signature o Authorized Person Date i‘$e3seec---tit Title/Position of Authorized Person County of Hawai'i Nonprofit Grants-in-Aid Program FY 22-23 Organization Information Organization Name: Homeless Task Force Contact Person: Regina Weller Contact Email: 808htf@gmail.com Contact Phone:808 315-4158 Program Information Program Name:Safe Haven Option: Housing Program Years in Operation: 3 years in Hawaii Other County grants/agreements:Yes Previously received County GIA:Yes Program Geographical Reach: North and South Kona Program Target Audience: Infancy(0-3), Play Age (3-5),School Age (6-11),Adolescence (12-17),Young Adulthood (18-39); Middle Adulthood (40-59), Kupuna (60+) Services/Activities Provided: Needs of the poor, Public health and welfare of the people and the environment,Youth, Aged, Physical/Emotional Disabilities,Victims of Crimes,Victims of Health or Social Crises Amount Applying For:$35000 • Homeless Task Force-Safe Haven Option: Housing I Page 1 Program Details Organization Mission:The mission of the Homeless Task Force (808HTF) is to decrease the number of homeless living on the streets of West Hawaii, by providing each individual with a specific vision for change, and a productive pathway back into mainstream society,where possible. We assist with placement into safe haven options of: interim and permanent housing, drug and alcohol rehabilitation, and return home to their families of origin, along with inclusion of miscellaneous practical agents to promote change. Program Overview:Safe Haven Option: Housing- In 2021, the Homeless Task Force (808HTF) assisted 44 individuals with interim and permanent housing in West Hawaii. This County Grant will allow us to advance and continue this viable Program. Our goal is to place a minimum of 40 people in housing, consisting of all age groups, single adults and families. The urgency is for local families as we witness increasing numbers of with young children living in their cars.Our staff will facilitate relationships with landlords and pay housing entry fees in a timely manner,to support immediacy for our clients in crisis. Our organization also interacts and cooperates in a team effort with other caseworkers from various social services organizations in an effort to fill a gap for unhoused clientele when their own program parameters and funding may limit them to do so. Program Objectives & Performances Resources Needed: The Resources needed are funding to pay for additional staff and training; housing entry fees for 40 participants of the Program,for food vouchers and household items/supplies.We also rely on ongoing coordination with community resources: Community Police Officer who have a view of homeless transients in the area that might be good candidates for housing,and the Care Hawaii caseworkers and nurses, Kona Hospital, etc.,who call to inform us of their clientele in crisis who need interim housing. Connections with hotels, and landlords who own multiple apartments and those who are sympathetic to the homeless cause is resourceful and facilitates easier placement. Major Activities to be Completed:808HTF staff will continue to accept crisis calls from Care Hawaii, Kona Police Dept., Kona Hospital and others to "fill in the gap" and assist with a search for potential landlords, and to finance initial housing fees. Our staff is trained to help residents shift from being houseless to gaining stability through securing independent housing.At initial move-in,staff will acquaint residents with the Program and provide food,toiletries, and clothing. Case manager and client work together to complete a Residential Action Plan (RAP),which consists of resident's strengths and needs, and measurable, achievable goals. Examples of RAP goals are practicing coping skills, activities of daily living and problem-solving; connecting to community resources of support; identifying ways to improve emotional and physical health; obtaining public benefits; creating a monthly budget; and exploring vocational/educational opportunities. Staff will give on-going support and track progress. Homeless Task Force-Safe Haven Option:Housing I Page 2 Outputs to be Completed:Outputs to be completed: Engaging with other agencies, police, etc.toward placement efforts for 40 people in all facets of housing.This includes families and individual adults. Direct service summaries and details are: Working with residents to identify personal assets, needs, and wants; Guiding residents in developing meaningful and achievable, independent-living-oriented goals and objectives;Assisting residents in taking actionable steps based on identified,goal-related objectives; Supporting residents in meeting basic needs and practicing activities of daily living; Increasing positive social and family relationships through case management; Connection to community services/resources; Helping residents obtain financial stability and independence by acquisition of vital stat replacements, benefits, and employment; Offering therapeutic support and advocacy through conversation, presence, and connection to community resources; Continuation with follow-up support. Measurable Outcomes: Housing placements were minimal in 2019, due to the start of the pandemic and the insecurity that followed, however of the 118 individuals we interviewed in 2021,44 were successfully placed into interim,transitional, and permanent housing. Our caseworkers will continue in the same way for 40 new participants:search for prospective landlords and assist with the rental applications and prepare clients for landlord interview. We advocate by providing assurances to the landlord of ready housing entry fees. We also assist with household items, linens, and food vouchers. Clients emotional state is uplifted with a new perspective and sense of well-being and hope, and they are no longer a direct hindrance to the general public and the infrastructure. Caseworker interval follow- ups are pertinent to the client's stability and and to reduce the rate of client recidivism. Measurable outcomes and milestones tallied on Excel Spreadsheets, in caseworker files, and HMIS/CES data entry. Attachments Program Budget(Income& Expenses) Certificate of Understanding Conflict Disclosure Homeless Task Force-Safe Haven Option: Housing I Page 3 Option Section -Tracking CHANGE & Ripple Effect Program Alignment with CHANGE Framework Community&Economy: Increase housing security/affordability, Reduce or address the cost of living, Builds community network, Increases community safety, Increases community capacity to adapt and/or be self-sufficient Health&Wellness: Improves access to mental/behavioral health services Arts&Culture: Natural Environment: Government&Civics: Education: How Program Advances CHANGE:808HTF's advances the CHANGE objective evaluating the homeless person's individual needs first and addressing those needs in a client centered way, Through intensive case management, we introduce specific goals that they can personally relate to. We recognize that change for the better in a homeless person's life is influenced by several factors, most critically,the provision of a "a roof over one's head" -a Housing First approach. Whether that housing becomes available through interim/transitional housing while goal setting is being established, or permanent housing,we've learned over time that productive change only comes about when the needs of the whole person are addressed. Housing offers safety and rest, and a reprieve from sleep deprivation normative to the houseless lifestyle. Subsequently, addictive behaviors can be addressed, medical needs get tended to, daily proper hygiene is attainable, and self-sufficiency becomes foremost. There is no major progress without this holistic approach. The client is then motivated to focus on stabilizing their future through employment, education, re-establishing family bonds, obtaining a skill, or pursuing other resources that add to their quality of life. Options presented become open for consideration to affect positive change and to promote self-sufficiency. Consequently,the community and the overall infrastructure is similarly markedly affected by the positive impact of a decrease in crime, disturbances, etc. Homeless Task Force-Safe Haven Option: Housing I Page 4 Program Budget Form: Income County of Hawaii • Nonprofit Grants-in-Aid—Fiscal Year 2021-2022 Organization Name:Homeless Task Force dba 808 Homeless Task Force Program Name:Safe Haven Options: Housing CASH Anticipated Committed J Total County Nonprofit Grants-in-aid 35,300 35,300 Applicant organizational budget: Individual contributions Membership fees. Earned income Current cash assets Other funding sources(list below): State CLIA Grant 75,223 75,223 ' Total Cash Income 75,223 75;223 IN-KIND CONTRIBUTION Anticipated Committed Total 0 0 Total In-Kind Contributions 0 0 TOTAL PROGRAM INCOME 110,523 110523 Program Budget Form: Expenses County of Hawaii * Nonprofit Grants-in-Aid—Fiscal Year 2021-2022 Organization Name Homeless Task Force dba 808 Homeless Task Force Program Name:Safe Haven Options: Housing Nonprofit Other Cash In-Kind Expense Description TOTAL Grant Source Contribution Salary Wages 3,500 44,500 48,000 Professional Fees 800 800 Operations 1,500 1,500 Supplies 4,300 2,000 6,300 Equipment Housing entry fees-minimum 40 clients 20,000 75,000 I 95,000 Staff Training 2,200 2,200 SUBTOTAL 30,800 123,000 153,800 TOTAL PROGRAM BUDGET 30,800 123,000 153,800 7 -17/Z442-- (i t- „ / e County of Hawai`i Nonprofit Grant Application FY 2022-23 Agency Name: 4/17,e/e,C,5---71&Z 01/10t- Program Name Name: r&.,17 ; / ei,e/1/ /eiz„...04e7)-1p /iv ORGANIZATION CONFLICT DISCLOSURE FORM Please disclose any conflicts or potential conflicts of interest that any board member, officer, director, or administrator of your organization may have with the County of Hawaii'. Only those listed below need to be disclosed. One form per person with a conflict is needed. If no conflicts exist, one form for the organization, with the "No conflicts exist"option checked needs to be submitted. Please duplicate as needed to fully disclose. All disclosure forms must be signed, regardless of whether a conflict exists. NAME: POSITION: May have a conflict or potential conflict of interest, including any familial relationship,with any of the following(check all that apply): E Member or members of the Council LI Staff appointed by a member of the Council fl The Mayor The Managing Director The Director of Finance El The Corporation Counsel,the Assistant Corporation Counsel, or a Deputy Corporation Counsel Conflict of Interest is defined as:a substantial probability that action taken by an individual will result in measurable direct benefits accruing to the individual as opposed to benefits accruing in general to an industry. Please specify any and all mitigation measures to avoid, in fact or appearance, any conflicts or potential conflicts of interest: If no conflicts exist, check here. Signature of of Authorized Person (specify title) ate County.of Hawai`i Nonprofit Grant Application FY 2022-23 ( / rG-i- Agency Name://401°-74-45'.5- � °se,. Pro rain Name: 6a.6."/ g Co�A` ��� �d Certification of Understanding (Page 1 of 2) I (we) have read and understood all of the eligibility requirements;grant conditions; award procedures; and records, reporting, and fiscal accountability requirements as mandated in Article 25, Sections 2- 135—2442.1, Hawaii County Code, relating to Appropriation of Funds to Nonprofit Organizations. I (we) agree to allow the County(the Legislative Auditor,the Department of Finance, designated Council representative, or expending/oversight agency)full,free;and unrestricted access and authority to examine and inspect any facility, equipment, property, or records pertinent to the grant, contract, or program for which funds were used. I (we) hereby certify that information supplied herein, including all supporting documents, is correct and that I (we) have the authority and ability to fully administer the program(s) pursuant to law. I (we) understand that information supplied herein shall be made public according to Chapter 92F, Hawai'i Revised Statutes. I (we) understand that applications will not be reviewed by County personnel receiving our County Nonprofit Grant submittal, and that we have full responsibility to ensure that all documents are complete and accurate prior to submittal. I (we) understand that all documents requiring a current signature must be the ORIGINAL, SIGNED document. Unsigned documents will be disqualified. Faxed or copied documents will not be accepted as original documents. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to enroll with Hawaii Compliance Express and be compliant prior to receiving payment(s). To register, go to ri o:/f 9fertc o:s.ehavvaii.uo'J complete the easy step-by-step process,and pay the annual registration fee online using a credit card: If awarded a grant from the County of Hawaii, I (we) understand and will comply with therequirement to submit a year-end report to the County Council within 60 days after June 30 of the contractual year for which the grant was awarded.The report, using the template provided, shall include an explanation of the public benefits derived from the awarding of the grant(focusing on specific, measurable outcomes),a complete accounting of all expenditures supported by County of Hawaii grant funds,and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete, and accurate year-end report, using the template provided, will impact the evaluation of your program's or agency's future funding requests. • County of Hawaii Nonprofit Grant Application FY 2022-23 1..,4 _4407 elfieo- Arvc-e- it. g Agency Name: e Program Name: Sfri2z4- h9enit,&' e (0140 14+ Certification of Understanding (Page 2 of 2) If awarded a grant from the County of Hawaiii, I (we) understand that a current Certificate of Liability ($1,000,000 general liability,$50,000 each occurrence) must be provided to the County of Hawaii Finance Department,which specifically and explicitly indicates that the County of Hawaii is an additional insured prior to receiving any payment(s). I (we) understand that failure to submit the final report within 60 days of June 30th shall result in loss of all grant funds received during the grant period(must be refunded to County)and exclusion from future grant participation for a minimum of one year or until a written report is submitted to,and accepted by,the council. I (we)understand there is no provision for further notification to submit the final report. Information and instructions are available at on or about May 30 of the year the final report is due, As part of this application,you acknowledge that any funds awarded will be restricted for the purposes stated in the application, except for a maximum ten percent(10%)for administrative and overhead costs.Any funds unused by June 30,2023 must be returned to the County of Hawaii with the final report. Failure to return these funds in a timely manner will impact the evaluation of your agency's future funding request and may result in actions taken to recover these funds. Awards cannot provide funds for Capital Improvements(Cost of Construction,materials, insurance or securities)on private properties unless otherwise authorized by law. By signing below,you are acknowledging that you have read and understood these requirements, 1/3 Signature of Authorized Person Date • Egehe-f-e14 v Pe--- Title/Position of Authorized Person County of Hawai'i Nonprofit Grants-in-Aid Program FY 22-23 Organization Information Organization Name: Homeless Task Force Contact Person: Regina Weller Contact Email:808htf@gmail.com Contact Phone:808 315-4158 Program Information Program Name:A Vision For You Program Program Years in Operation: 3 years n Hawaii Other County grants/agreements:Yes Previously received County GIA:Yes Program Geographical Reach: Captain Cook, Kealakekua, North and South Kona Program Target Audience:Young Adulthood (18-39), Middle Adulthood (40-59), Kupuna (60+) Services/Activities Provided: Needs of the poor, Public health and welfare of the people and the environment,Youth,Aged, Physical/Emotional Disabilities,Victims of Crimes,Victims of Health or Social Crises Amount Applying For:$45000 Homeless Task Force-A Vision For You Program I Page 1 Program Details Organization Mission:The Mission of the Homeless Task Force is to assist the homeless community in West Hawaii by providing Outreach and Engagement Services that would begin the process of providing each person with a specific vision for change that would set the tone for a productive pathway back into mainstream society,where possible.We offer safe haven options of: housing, drug and alcohol rehab, and return home to families of origin, along with inclusion of miscellaneous practical agents to promote t change. Program Overview:Our Homeless Task Force seeks funding to conduct Outreach and Engagement to a minimum of 200 homeless for assessment of their immediate needs, in an effort to elevate them out of this dangerous lifestyle. We understand the validity of going directly to "Where our potential clients are'for knowledge and insight into their individual behaviors and habitat, and the importance of the human connection. Our staff seeks out those who are ready to accept the services we offer, and with our guidance, make the transition into a more productive life. Measures are taken to gain trust, and we offer goodwill packages of hygiene kits,food vouchers, etc., and help them to become document-eady for other services. Program Objectives & Performances Resources Needed: Important Resources: Funding for additional Outreach and Engagement workers and training in methodology, Covid safety protocols, etc.. Also supplies, hygiene kits, masks,food vouchers, apparel, is needed to carry out the program. Resourceful contacts: continued teamwork and on-going collaboration with other Social service organizations, Kona Police department, Care Hawaii caseworkers, County Prosecutors Office, West Hawaii Medical Center, Kona Hospital, and other local medical and mental health clinics. Major Activities to be Completed: In 808HTF Outreach we go to homeless and distribute supplies that were purchased and organized for distribution to homeless. Next, intensive case management is underway,with the introduction of a "Vision"for the client, gleaned from ongoing discussion of their interests and desires. From this point,we collaborate with the client to develop a plan that is tailor made to their personal goals and strengths, one they can relate to and then guide them toward a road of functionality and stability. Engagement also involves linking them with public benefits, and identifying appropriate health care and behavioral health treatment to medical and mental health centers,or to Weller House Therapeutic Transitional Housing, and providing the transportation to all sites. Also we collaborate with the Kona Police Dept for background checks and remove encumbrances that may hinderi their advancement, and also the County Prosecutors Office for clearances,when appropriate. Outputs to be Completed:Outputs are: 200 homeless are contacted and interviewed and assisted with immediate needs. Willing participants will undergo "A Vision For You" Program tailored to the Homeless Task Force=A Vision For You Program I Page 2 personality types,their talents,their perceptions,traits, etc., assisted by a trained case worker who will help to develop a plan and goals unique to them and one they can envision for themselves. This is intensive case management for as long as it takes to achieve milestones and for completion of goals, They will be guided into areas of relief where possible: employment,family reunification,transitional and permanent housing, drug and alcohol rehab referrals. Follow-up care is done to reduce rate of recidivism, and data collected to measure individual success and success of the Program. Measurable Outcomes: In 2021,of the 118 individuals interviewed,we made a significant impact to 107 with housing,family reunification, rehab, and employment.This equates to a 91%success rate in effective outcomes which lessens the burden to the overall society. It is our hope.that with more funding,we can advance this opportunity for others.The Covid-19 Pandemic greatly affected all Outreach in prior years.We witnessed a substantial decline in Outreach practices by social service organizations, and in food distribution. Many services were unavailable partly due to government lock- downs, and safety factors imposed by the virus. Our staff filled the gap by providing food, hygiene kits and masks.This lessens crime activity.Although we are all impacted by the pandemic,we cannot expect positive outcomes without including a specialized team to meet potential clients in their open-air habitats.The human condition is revived by these positive outcomes, and the community is equally relieved. Attachments Program Budget(Income & Expenses) Certificate of Understanding Conflict Disclosure Homeless Task Force-A Vision For You Program Page 3 Option Section -Tracking CHANGE & Ripple Effect Program Alignment with CHANGE Framework Community&Economy: Diversify economy, Build income,wealth, assets, Increase housing security/affordability, Reduce or address the cost of living, Builds community network, Increases community safety, Increases community capacity to adapt and/or be self-sufficient Health&Wellness: Improves access to mental/behavioral health services Arts&Culture: Natural Environment: Government&Civics: Education: How Program Advances CHANGE: Our Program affects positive CHANGE impact for the homeless and for the overall community. In 2021, of the 118 individuals interviewed, 107 were assisted with housing, family reunification, rehab, and employment.They were moved out of misery. This equates to a 91% success rate in effective outcomes which lessens the burden to the overall society. It is our hope that with this Grant funding, we can advance this opportunity for others.At the onset of the Pandemic we witnessed a substantial decline in Outreach practices by social service organizations and in food distribution. Many services were unavailable partly due to government lock-downs, etc. Our staff filled the gap by providing food, hygiene kits and masks. Although we are all impacted by the pandemic, we cannot expect positive outcomes without including a specialized team to meet potential clients in their open-air habitats.The human condition is revived by these positive outcomes, and the community is equally relieved.The ripple effect: Crime,trauma, public harm, business complaints, police and ambulance calls and hospitalization are simultaneously decreased and burdens are lessened. • Homeless Task Force-A Vision For You Program I Page 4 Program Budget Form: Income County ofHavva|1 ° Nonprofit Grants-in-Aid—Fiscal Year 2021-2022 Organization Name:Homeless Task Force db88O8.HDme|ess Task Force Program Name:A Vision For You Program CASH Anticipated - Committed Total County Nonprofit Grnte{n.eid ` 45,000 45,000 Applicant organizational budget Individual contributions ^ . Membership fees �. Earned income current cash assets OtherfundinQyuu�es(listbe!my)� State Gia Grant 82.000 82,000 Total Cash Income 1N-KIND CONTRIBUTION Anticipated Committed Total . ! Total In-Kind Contributions 0 0 . . TOTALPROGRAM |NCOKAEO 127.00O 127,000 1 )7 e"' f�-<�'� . �� e Project. Budget��� Form: Expenses County of Hawai'i • Nonprofit Grant-in-Aid (VVaivvai Grant)—Fiscal Year 2022'2023 Organization Name:Hmmo\eea Task Force dba 808 Homeless Task Force Program Name:A Vision For You Program Nonprofit Other Cash In-Kind Expense Description (VValvveD TOTAL ' ' Source Contribution Grant - Salary Wages 22.000 43.000 0 05,000 Professional Fees 800 600 Operations 4OO0.000 0.4OO ` Supplies 7,20O ' 7.2OO Equipment | AppareL shoes,hygiene kits,food vouchers 13,700 8.000 21.700 water, Covid 19 information pamphlets and other misc. items as applicable to assist with crucial immeiate need Staff Training 2.500 2,500 SUBTOTAL 43.900 58.500 O 100/400 TOTAL PROGRAM BUDGET 43.900 59,500 0 103,400 ~ //� �� ~ /' mr //D_ ' ' Nonprofit NONPROFIT FORM _ _ ' CONFLICT DISCLOSURE Please disclose any conflicts or potential conflicts of interest that any board member,officer, director, or administrator ofyour organization may have with the County of Hamxsi1. Only those listed below need to be disclosed. One form per conflict is needed. If no conflicts exist,one form for the organization, with the'No conflicts exist"option checked needs to be submitted. Please duplicate as needed to fully disclose.All disclosure forms must be signed, regardless of whether a conflict exists. NAME: POSITION: May have a conflict or potential conflict of interest, including any familial relationship, with any of the following(check all that apply): I No conflicts exist(No further information required. Please sign form at the bottom.) Member or members of the Council Staff appointed by a member of the Council The Mayor The Managing Director The Director of Finance The Corporation Counsel,the Assistant Corporation Counsel, or a Deputy Corporation Counsel Conflict of Interest is defined as:a substantial prObability that action taken by an individual will result in measurable direc benefits accruing to the individual as opposed to benefits accruing in general to on industry. Please specify any and all mitigation measures to avoid, in fact or appearance, any conflicts or potential conflicts of interest: ��� ���yr������� �� 8 /����/�������� Signature of Authorized Person (specify title) Date • For Use W Requests for Grantsfrom County Council District ContingeRelief Funds. (Form Rev. 12-1I-14) County of Hawai'i Nonprofit Grant Application FY 2022-23 /721/71/ e; 5.--5n Name:/kW�� d'hAe cy vcr Program Name: A. /1 'f i f""c f D It 94-67 -0 r4. Certification of Understanding (Page 1 of 2) I (we) have read and understood all of the el_igiibility requirements; grant conditions; award procedures; and records, reporting, and fiscal accountability requirements as mandated in Article 25, Sections 2- 135--2442.1, Hawaii County Code, relating to Appropriation of Funds to Nonprofit Organizations. I (we) agree to allow the County (the Legislative Auditor,the Department of Finance, designated Council representative,or expending/oversight agency)full,free, and unrestricted access and authority to examine and inspect any facility,equipment, property, or records pertinent to the grant, contract, or program for which funds were used. I (we) hereby certify that information supplied herein, including all supporting documents, is correct and that I (we) have the authority and ability to fully administer the program(s) pursuant to law. i (we) understand that information supplied herein shall be made public according to Chapter 92F, Hawaii Revised Statutes. I (we) understand that applications will not be reviewed by County personnel receiving our County Nonprofit Grant submittal, and that we have full responsibility to ensure that all documents are complete and accurate prior to submittal. I (we) understand that all documents requiring a current signature must be the ORIGINAL,SIGNED document. Unsigned documents will be disqualified. Faxed or copied documents will not be accepted as original documents. If awarded a grant from the County of Hawai'i, i (we) understand and will comply with the requirement to enroll with Hawai'i Compliance Express and be compliant prior to receiving payment(s). To register, go to http://vendors.eha waii.gov,complete the easy step-by-step process, and pay the annual registration fee online using a credit card. If awarded a grant from the County of Hawaii, I (we) understand and will comply with the requirement to submit a year-end report to the County Council within 60 days after June 30 of the contractual year for which the grant was awarded.The report, using the template provided,shall include an explanation of the public benefits derived from the awarding of the grant(focusing on specific, measurable outcomes),a complete accounting of all expenditures supported by County of Hawaii grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete, and accurate year-end report, using the template provided, will impact the evaluation of your program's or agency's future funding requests. ~ Application ��� 7Q��_7� County mFf� '^l Nonprofit � + ��v^~^� ++ u��. riAo�DC� KJ2l�i� �� ������~ ` nr��r����- ^����� _ Agency . ^ ^ Program Name: Certification of Understanding (Page 2 of 2) If awarded a grant from the County of Haw/ i1, I (we) understand that a current Certificate of Liability /$1,000,000 general liability $50,000 each occurrence) must be provided to the County of Hawai'i Finance Department,which specifically and explicitly indicates that the County of Hawai'i is an additional insured prior to receiving any payment(s). I (we) understand that failure to submit the final report within 60 days of June 30th shU result in loss of all grant funds received during the grant period (must be refunded to County)and exclusion from future grant participation for a minimum of one year or until a written report is submitted to, and accepted by,the counciL I (we) understand there is no provision for further notification to submit the final report. Information and instructions are available at n on or about May 30 of the year the final report is due. As part of this application, you acknowledge that any funds awarded will be restricted for the purposes stated in the application, except for a maximum ten percent(10%)for administrative and overhead costs.Anyfundsunu»edby]une3O, ZOI3mustbereturnedtothe [ountyofHawvai'ivviththefina| report. Failure to return these funds in a timely manner will impact the evaluation of your aqencv's future funding request and may result in actions taken to recover these funds. Awards cannot provide funds for Capital Improvements(Cost of Construction, materials, insurance or securities) on private properties unless otherwise authorized by law. By signing below,you are acknowledging that you have read and understood these requirements. 6?. =�.` � ' `'� _' ` m/�/ 3_ ' '~ / Signature ofAuthodzedPeoon Date ~ C--)( ���� ~+�� �/�� ' � �� r,_ ,-/--ev Title/Position of Authorized Person . . ` - ' � � County of Hawai'i Nonprofit Grants-in-Aid Program FY 22-23 Organization Information Organization Name: Homeless Task Force Contact Person: Regina Weller Contact Email: 808htf@gmail.com Contact Phone:808 315-4158 Program Information Program Name: Family Reunification Proram Program Years in Operation: 2 years Other County grants/agreements:Yes Previously received County GIA:Yes Program Geographical Reach: North and South Kona Program Target Audience:Young Adulthood (18-39), Middle Adulthood (40-59), Kupuna (60+) Services/Activities Provided: Needs of the poor, Public health and welfare of the people and the environment,Youth,Aged, Physical/Emotional Disabilities,Victims of Crimes,Victims of Health or Social Crises Amount Applying For:$40000 Homeless Task Force-Family Reunification Proram I Page 1 Program Details Organization Mission:This Mission of the 808 Homeless Task Force is to decrease the number of homeless living on the streets in Hawaii through Outreach and Engagement efforts, providing each individual with a specific vision for change,and a productive pathway back into mainstream society, where possible. This includes safe haven options of: housing, drug and alcohol rehabilitation, and return home to their families of origin, along with inclusion of miscellaneous practical agents to promote the change. Program Overview:The Family Reunification Program: 808HTF is the sole organization in Hawaii County assisting homeless with the return home to their families of origin. In 2021, we successfully assisted 17 individuals to reunite with family. We can now project a minimum of 40 in this fiscal year due to our, solid experience with this process, and the positive momentum that has built up in the homeless community(likely brought on by Covid stressors)with regard to this safe return home option. Many have expressed a desire to be reunited, however feel constrained by a variety of factors: financial - hardship,traumatic experience here on the island leading to emotional despair,and/or conflict or communication difficulties with families. Our 808HTF team is trained and skilled in this type mediation, and staff will act as a Liaison to encourage and intercede and secure their return home. Funds are needed to accelerate this viable housing option,and simultaneously decrease the homeless count in Hawaii. Program Objectives & Performances Resources Needed: 808 HTF must train staff so that they have the skills to safely and effectively conduct Outreach and Engagement for program participants, including reconciliation methodology, and Covid-19 protocols. Hygiene kits, masks, pandemic informational pamphlets, apparel and food cards are organized and placed in inventory by staff for distribution to the homeless community. Contact is made with Kona Police Department for background checks, and the County Prosecutors Office for clearances, where applicable. Pre-travel appointments are made with medical clinics for Covid testing,etc. Attention is given for pets,with pet safe travel considerations,Veterinarian health certificates, and pet crates.We request Grant funding for these items,and for equipment, communications, airfare fees, and for vehicle transport to airport. HMIS/CES data entry is made, including follow-up client support by phone contact at scheduled intervals and to measure success of the Program. Major Activities to be Completed:808HTF staff conducts outreach for participants and collaborates with resources: Care Hawaii caseworkers, Kona Police Officers,VASH, Kona Hospital, and other social /medical service calls regarding candidate clients. Our staff interviews and prepares participants (emotionally,socially, physically, and financially)to rejoin their families. Initial contact is made with the family allowing for open dialogue, consideration of any safety issues, including drug rehab sites near family,and a reunification plan that it is acceptable to both parties. Coordination is made with Kona Homeless Task Force-Family Reunification Proram I Page 2 Police to conduct background checks and to acquire travel ID permits and County Prosecutor's office to clear any encumbrances prior to travel. The family commits to meet at the destination airport for client transport to the family home. We schedule flights and pay airfare fees, and provide food cards, baggage, adequate clothing, and transportation/escort to airport. The bid farewell is priceless. Outputs to be Completed:A minimum of 40 individuals will be supported by four 808HTF staff, and encouraged through the reunification process.The process begins with assessment as to whether the move is feasible,the participant's commitment to the process, and contact with their families of origin whether on the island, inter-island or out-of state. If there are any health issues,they are referred and transported to medical clinics for clearances prior to travel. If a participant is not vaccinated for Covid, medical appointments are made for voluntary vaccination, or for Covid testing 3 days prior to travel. Those with missing ID are escorted to the Police Department to acquire one way travel permits, acceptable by the airport TSA. It is important to note that in 2021, of those who returned home to their families via airfare,the majority(99%)were from the Mainland and 2 were international. Staff provides food cards, baggage, and extra clothing to accommodate for the colder destination climates. Measurable Outcomes:The Outcomes are very promising to Hawaii: once a client returns home to family it results in an instant decrease in the homeless count, and immediately ends Hawaii State benefits paid out monthly to the individual. This is a tremendous cost-savings to the State! Many homeless participants do not have employment, and are primarily living on the street,waiting in food lines or panhandling. Upon travel out-of-state,there is a marked decrease in crime, police calls, ambulance calls, hospitalization, public disturbances, panhandling, and funding paid out for food stamps and monetary benefits. The outcome also proves very beneficial to the homeless program participants: They are relieved to return home, mental anguish and stress is lowered, fatigue from lack of proper sleep is lessened with a family home base, and acceptance and support from family is crucial to overall health and well-being. It's a new start, hope for the future is restored. It's a win-win situation for all. Attachments Program Budget(Income & Expenses) Certificate of Understanding Conflict Disclosure Homeless Task Force-Family Reunification Proram I Page 3 Option Section -Tracking CHANGE & Ripple Effect Program Alignment with CHANGE Framework Community& Economy: Increases community safety Health &Wellness: Reduces healthcare costs, Improves access to mental/behavioral health services Arts&Culture: Natural Environment: Government&Civics: Education: How Program Advances CHANGE:The Family Reunification Program advances the CHANGE objective, impacting economic and social change. This is a positive influence for both the unhoused participant and for all facets of the community. Once a homeless individual returns home under the covering of family members,the hardship on that person, including the burden on the residential and business community and society overall, is lifted dramatically. The ripple effect in Hawaii is great: Police calls decrease, crime stats decrease,ambulance and emergency hospital visits decrease, State expenditures greatly decrease and the overall infrastructure is less challenged. The willing participant similarly upgrades:they are transported from living in an unprotected dangerous lifestyle,from weariness and disintegrating health,from sleep deprivation and isolation, waiting in food lines,from hopelessness and despair, to a gratifying roof over their head, and to acceptance and security with their natural family who desire to have them home. Positive change can be realized and hope for a more promising future is restored. • • Homeless Task Force-Family Reunification Proram I Page 4 Program Budget Form: Income County of Hawaii+ Nonprofit Grant-in-Aid (Waiwai Grant)—Fiscal Year 2022-2023 Organization Name: i7'e d ?44$3- Program ` "Program Name:I"a w, We a/7, ,ea,7/4?2 ,7/ ICASH Anticipated Committed Total County Nonprofit Grant-in-:Aid(Waiwai Grant) 2 9/ d :` 3 ` 34 Applicant organizational budget: / Individual contributions Membership fees Earned income Current cash assets Other funding sources(list bel©w): Sli/e- i--i >ot-71 f Total Cash Income ' f f 4e d 1N-KIND CONTRIBUTION Anticipated Committed Total Total In-Kind Contributions !� TOTAL PROGRAM INCOME Y°6) 1r goo Appendix D--Budget Sheets(Page 2 of 2) Project Budget Form: Expenses County of Hawaii • Nonprofit Grant-in-Aid (Waiwai Grant)—Fiscal Year 2022- 023 Organization Name: Ie/e5S arC-e `q"6 ' . &/‘77 /e—CC - -dam .. Program Name: - ?n� ,� / hr ��d7`/D,I') , ��. r' >7? Nonprofit Other Cash In-Kind Expense Description (Waiwai) TOTAL Source Contribution Grant Salary Wages ,p?/ 41-fj40 ay:/, 04-0 ©f !J©c Professional Fees ‘• D!3 Operations / 02 d a / a o Supplies al .3 00 / e 4 d 9./ de Equipment 3-40 a L� c yf" r z✓ t At' vim/ ,/ 4'/ ADO / o k d D e d -©4d Y.4) uc4' tc a� e/ dd a o o # /-'1n € '� S m¢-$CS ,3 lid / p o 6 ` a d G.-//41/f eeGlc ' X06 e /7`' fj'1'•.5" 7121 .�l,t•in,P / u a SUBTOTAL .31/ ,34c) VI/ / 'i D 1/ TOTAL PROGRAM BUDGET Of, 3 er) f L/oe3 D tl e, 0 d County of Hawai`i Nonprofit Grant Application FY 2022-23 Y Name: Agency ,feli'1�., .5�'� 7 e-e- "AA_ Ae./tWe6s-d /s ' tc .. � Program Name: . G /I/ a �z .-a nv ORGANIZATION CONFLICT DISCLOSURE FORM Please disclose any conflicts or potential conflicts of interest that any board member,officer, director, or administrator of your organization may have with the County of Hawaii. Only those listed below need to be disclosed. One form per person with a conflict is needed. If no conflicts exist,one form for the organization,with the"No conflicts exist"option checked needs to be submitted. Please duplicate as needed to fully disclose. All disclosure forms must be signed, regardless of whether a conflict exists. NAME: POSITION: May have a conflict or potential conflict of interest, including any familial relationship,with any of the following (check all that apply): E Member or members of the Council ❑ Staff appointed by a member of the Council (� The Mayor C The Managing Director E The Director of Finance f l The Corporation Counsel,the Assistant Corporation Counsel, or a Deputy Corporation Counsel Conflict of Interest is defined as:a substantial probability that action taken by an individual will result in measurable direct benefits accruing to the individual as opposed to benefits accruing in general to an industry. Please specify any and all mitigation measures to avoid, in fact or appearance, any conflicts or potential conflicts of interest: 1Y If no conflicts exist, check here. . Zir-ec-7‘lc Signature of Authorized Person(specify title) Date County of Hawai`i Nonprofit Grant Application FY 2022-23 Agency Name: _ � � g Y i°,/44/1"i't4' 1C-F-c---e- Program Name: 72 1// Certification of Understanding (Page 1.of 2) I (we) have read and understood all of the eligibility requirements;grant conditions; award procedures; and records, reporting, and fiscal accountability requirements as mandated in Article 25,Sections 2- 135--2-142.1, Hawaii County Code, relating to Appropriation of Funds to Nonprofit Organizations... I (we) agree to allow the County(the Legislative Auditor,the Department of Finance,designated Council representative, or expending/oversight agency)full,free, and.unrestricted access and authority to examine and inspect any facility, equipment, property,or records pertinent to the grant, contract, or program for which funds were used. I (we) hereby certify that information supplied herein, including all supporting documents, is correct and that I (we) have the authority and ability to fully administer the program(s) pursuant to law. I (we) understand that information supplied herein shall be made public according to Chapter 92F, Hawaii Revised Statutes. I (we) understand that applications will not be reviewed by County personnel receiving our County Nonprofit Grant submittal, and that we have full responsibility to ensure that all documents are complete and accurate prior to submittal. I (we) understand that all documents requiring a current signature must be the ORIGINAL, SIGNED document. Unsigned documents will be disqualified. Faxed or copied documents will not be accepted as original documents. if awarded a grant from the County of Hawaii, I (we) understand and will comply with the requirement to enroll with Hawaii Compliance Express and be compliant prior to receiving payment(s). To register, go to http://vendors.ehawaii.gov, complete the easy step-by-step process,and pay the annual registration fee online using a credit card. If awarded a grantfromthe County of Hawai`.i,.I (we) understand and will comply with the requirement to submit a year-end report to the County Council within 60 days after June 30 of the contractual year for which the grant was awarded.The report, using the template provided,shall include an explanation of the public benefits derived from the awarding of the grant(focusing on specific, measurable outcomes),a complete accounting of all expenditures supported by County of Hawaii grant funds,and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete, and accurate year-end report, using the template provided, will impact the evaluation of your program's or agency's future funding requests. County of ''l NonprofitGrant Application FY 2022-23 y� Agency ^.�lIl�� ��/��� � /�~�'^���� ~ °+ce,��_ Certification of Understanding (Page 2 of 2) If awarded a grant from the County of Hawai'i, | (vVm) undeotandthatacurnentCertificateofUab|Uty ($1,000,000 general liability $50,000 each occurrence) must be provided to the County of Hawai'i Finance.Department,which specifically and explicitly indicates that the County of Hawai9 is an additional insured prior to receiving any payment(s). (we) understand that failure to submit the final report within 60 days of June 30th shall result in loss of all grant funds received during the grant period (must be refunded to County)and exclusion from future grant participation for a minimum of one year or until a written report is submitted to,and accepted by,the council. I (we) understand there is no provision for further notification to submit the final report. Information and instructions are available at on or about May30 of the year the final report is due. As part of this application, you acknowledge that any funds awarded will be restricted for the purposes stated in the application, except for a maximum ten percent(10%)for administrative and overhead costs.Any funds unused by June 30,2023 must be returned to the County of Hawai`i with the final report. Failure to return these funds in a timely manner will impact the evaluation of your agency's future funding request and may result in actions taken to recover these funds. Awards cannot provide funds for Capital Improvements(Cost of Construction, materials,insurance or securities)on private properties unless otherwise authorized by law. By signing below,you are acknowledging that you have read and understood these requirements. / 2 ��/' � � ` ~~ / Signature of Authorized Person Date Title/Position of Authorized Person NONPROFIT GRANT APPLICANTS FOR FY2022-23 Sort order matches separation sheet numbers(hard copies). Note that the disqualified applicants sort order are AFTER qualified applicants. -1 Numerical n $".9t('-'.,'-':Z?'C' lz.'''':"Z',::,j.:',Z%•-7N'.,':k:::?f:''''';''' :,'.i:;,'.1:'-,--'E,'---1::_"-ji,',:::',,-;:;.} :: :":::-.,, -:;:-,;.',.';';','-'::•i:,:: :-:,.:-.',:` ?'._,:-':'- '.:::::--1:";.'-.17']*k'1; :‘:"2:-,':-=';.:;`,:,--';:- :.:::'''. '.'-.::';',::`,:' :•':' ': ' Orii ,-:'. 1,05:rder..,'.:-.;::.;;.;:',`.:::''',':;:[,,!,,:. •''.1,2,0RONIZATiON-14Aivit:',.:::,:.,,:.;,,S7- ',.--; '!-,_-,-,-;?,:::',:‘,::,,,;,;,,;:,,,-,;',"-:: 5.:,'L'.,-':',,,';i':jfiPitiGA'AfeNAIVIE 'j'f:;::::':s:', :',i,.':::',: -,:., '••,;FIE611.1EbTED 51 3 After-School All-Stars Hawaii After-School Programs in Middle Schools 45,000.00 173 5 Aloha Club of Hilo Hale'Oluea Clubhouse 20,000.00 148 6 Aloha Ilio Rescue Aloha Ilio Rescue 40,000.00 73 9 ALS Ohana of Hawaii Excellence in ALS Care—Professional Care Management 20,000.00 83 10 ALS Ohana of Hawaii Excellence in ALS Care-Equipment Loan Program 10,000.00 9 11 American National Red Cross,The Disaster Preparedness&Response in Hawaii County 35,000.00 103 13 Arts&Sciences Center ASC Community Learning Program 40,000.00 122 14 Arts and Science Center Villages 10,000.00 21 15 Big Island Mediation,Inc. Community Mediation and Outreach 15,000.00 43 16 Big Island Mediation,Inc. Youth Conflict Resolution Education 10,000.00 Hawaii Ulu Cooperative:Youth Education to Increase Local Staple 105 17 Big Island Resource Conservation and Development Council Crop Production&Consumption 25,000.00 110 18 Big Island Resource Conservation and Development Council Mauna Kea Watershed Alliance 15,000.00 111 19 Big Island Resource Conservation and Development Council Nutrition Grown Farming Educational Program 15,000.00 Growing Edible Gardens Using Best Management and Sustainable 112 20 Big Island Resource Conservation and Development Council Practices 20,000.00 Big Island Invasive Species Committee Invasive Plant Eradication 113 21 Big Island Resource Conservation and Development Council Program 40,000.00 164 35 Boys&Girls Club of the Big Island Daily Meal Support for Income-Challenged Youth and Families 50,000.00 Daily Transport Services of Critical Needs Resources for Income- 171 36 Boys&Girls Club of the Big Island Challenged Youth,Kupuna,and Families 50,000.00 "Academic Tutoring and Homework Support for Income- 175 37 Boys&Girls Club of the Big Island 'Challenged Youth" 50,000.00 180 38 Boys&Girls Club of the Big Island "Public Safety Careers:Workforce Development Program" 50,000.00 184 39 Boys&Girls Club of the Big Island "Mentoring for At-Risk Youth on Hawaii Island" 50,000.00 "Healthy Lifestyles and Sports Programming for Income- 187 40 Boys&Girls Club of the Big Island Challenged Youth" 50,000.00 "Child Care and Youth Development Services for Hawaii Island 191 41 Boys&Girls Club of the Big Island Families" 50,000.00 • "Building Income-Challenged Youth to Become Leaders on Hawaii 195 42 Boys&Girls Club of the Big Island Island" 50,000.00 • "Social/Emotional Learning&Development for Hawaii Island 201 43 Boys&Girls Club of the Big Island Income-Challenged 50,000.00 "Wellness and Mental Health for Income-Challenged Youth and 203 • 44 Boys&Girls Club of the Big Island Families"Mental Health 50,000.00 151 45 Brantley Center,Inc Job Skills Development Program 25,000.00 154 46 Bridge House,Inc. Clean&Sober Living Program 50,000.00 190 47 Bridge House,Inc. Vocational Skills Building Program 20,000.00 204 48 Bridge House,Inc. Care Coordination 5,000.00 22 49 Center for Getting Things Started • Farm to Family 50,000.00 135 51 Child and Family Service Alternatives to Violence 50,000.00 142 52 Child and Family Service Domestic Abuse Shelters(DAS) • 50,000.00 10 53 East Hawaii Cultural Council Young at Art 2023 • 10,000.00 17 54 East Hawaii Cultural Council Hawaiian Translation Project 5,000.00 47 55 East Hawaii Cultural Council • EHCC Out of Doors 20,000.00 • 49 56 East Hawaii Cultural Council • EHCC Lecture Series 5,000.00 NONPROFIT GRANT APPLICANTS FOR FY2022-23 Sort order matches separation sheet numbers(hard copies). Note that the disqualified applicants sort order are AFTER qualified applicants. 120 57 Educational Services Hawaii Foundation dba EPIC Foundation Imi'Ike Learning Center at Hilo 50,000.00 168 61 Five Mountains Hawaii On-Board Psychologist 50,000.00 50 64 Friends of the Children's Justice Center of East Hawaii Special Needs,Enhancement,Support,Education&Training 7,500.00 11 66 Friends of the Palace Theater Annual Musical 10,000.00 92 67 Friends of the Palace Theater Hawaiian Roots Festivals of Talent 15,000.00 97 68 Friends of the Palace Theater Youth Theater Program 10,000.00 90 69 Full Life Renaissance of Inclusion 15,000.00 78 71 Going Home Hawaii Reentry and Recovery Housing 50,000.00 81 72 Going Home Hawaii Hawaii Island Going Home Consortium(HIGHC) 40,000.00 64 73 Goodwill Industries of Hawaii Ola I Ka Hana Youth Program 30,000.00 Career Services—Employment Services for low-income and 65 74 Goodwill Industries of Hawaii reintegrating individuals 35,000.00 66 75 Goodwill Industries of Hawaii Ho'olana Educational and Arts Program 50,000.00 Hawaii Diaper Bank(a fiscally sponsored program of Hawaii 156 85 Hawai'i Children's Action Network Children's Action Network) 30,000.00 20 93 HAWAII ISLAND ADULT CARE,INC. Hilo Adult Day Center30,000.00 94 96 Hawaii Island Home for Recovery,Inc HIHR Permanent Supportive Housing Program 30,000.00 93 97 Hawaii Island Home for Recovery,Inc. HIHR Kitchen&Pantry Outreach Programs 20,000.00 96 98 Hawaii Island Home for Recovery,Inc. HIHR Transitional Shelter Program 30,000.00 16 100 Hawaii Rise Foundation Together We Can 50,000.00 86 101 Hawaii Society of Obstetricians and Gynecologists Hawaii County OB/GYN Resident Program 2022-2023 50,000.00 19 103 Heart Ranch Heart Ranch 25,000.00 95 104 Hilo Community Players 45th Annual Shakespeare in the Park Festival 10,000.00 123 105 Hilo Community Players Na Mea Hawaii Theatre 7,500.00 129 106 Hilo Community Players Kid-Shakes! 5,000.00 139 107 Hilo Community Players Rising Stars 10,000.00 147 108 Hilo Community Players Disney in the Park 5,000.00 150 109 Hilo Community Players LBGTQIA+Outreach Through Theatre 5,000.00 157 110 Hilo Community Players Dinner With Divas 5,000.00 167 111 Hilo Community Players Annual Musical Theatre Program 15,000.00 196 114 Holualoa Foundation for Arts&Culture 50,000.00 166 115 Holualoa Village'Ohana Holualoa Coffee&Art Stroll 2,500.00 209 116 Holualoa Village'Ohana Holualoa Music&Light Festival 2,500.00 89 117 Homeless Task Force Fab Rehab Program 30,000.00 115 118 Homeless Task Force Return to Work Program 35,000.00 149 119 Homeless Task Force Safe Haven Option:Housing • 35,000.00 199 120 Homeless Task Force A Vision For You Program 45,000.00 62 121 Homeless Task Force dba 808 Homeless Task Force Family Reunification Proram 40,000.00 144 122 HOPE Services Hawaii,Inc. Sacred Heart Community for Kopuna 20,000.00 NONPROFIT GRANT APPLICANTS FOR FY2022-23 Sort order matches separation sheet numbers(hard copies). Note that the disqualified applicants sort order are AFTER qualified applicants. 53 123 Hospice of Kona,Inc. Volunteer Services 2,500.00 68 124 Hospice of Kona,Inc. • Nakamaru Hale,hospice residential care 20,000.00 80 125 Hospice of Kona,Inc. Maluihi Grief Center-Bereavement Services 15,000.00 118 126 Housing and Land Enterprise of Hawaii County,The Community Marketing and Development Outreach 30,000.00 7 131 Hui Pono Holoholona Low Cost Spay/Neuter Clinics 25,000.00 91 132 Innovations Public Charter School Foundation Na Kalai Ola-Life Navigators-Wellness Program 10,000.00 5 133 Island of Hawaii YMCA Family Visitation Center 50,000.00 41 134 Island of Hawaii YMCA New Horizons Youth Program 15,000.00 15 140 Kamuela Philharmonic Orchestra Society Community Concerts 10,000.00 104 141 Kamuela Philharmonic Orchestra Society Elementary Music Education Program 5,000.00 25 142 Keaukaha One Youth Development RISE 21st Century After School Program 50,000.00 29 143 Keaukaha One Youth Development Paahana Vaa(formerly known as Youth Paddling Program) 30,000.00 lomakualani Voyaging Canoe(formerly known as Hokualakai 35 144 Keaukaha One Youth Development Restoration Project) 50,000.00 37 145 Keaukaha One Youth Development Hoola Hou-Hawaiian Warriorship Program 20,000.00 39 146 Keaukaha One Youth Development VEX IQ Robotics Program 15,000.00 55 147 Keaukaha One Youth Development Na Anela Kai(formerly known as Junior Lifeguarding Program) 25,000.00 58 148 Keaukaha One Youth Development Temple Children Collaboration Project 25,000.00 60 149 Keaukaha One Youth Development Hui Kui Hao-Welder's Hui 50,000.00 8 150 Kohala Animal Relocation and Education Service(KARES) Veterinary Care and Spay/Neuter for Hawaii Island Family Pets 30,000.00 59 155 Ku'ikahi Mediation Center Community Mediation&Facilitation Services 15,000.00 145 156 Ku'ikahi Mediation Center Conflict Prevention&Resolution Education 15,000.00 71 158 La'i'opua 2020 Ho'okahua--La'i'opua 2020/Palamanui Culinary Project 20,000.00 134 159 Laupahoehoe Train Museum Honeybee Education Program Professional Development 10,000.00 141 160 Laupahoehoe Train Museum Aina-based Education for Youth and Community 15,000.00 133 161 Legal Aid Society of Hawaii Civil Legal Services for Rural Residents 10,000.00 140 162 Legal Aid Society of Hawaii Medical-Legal Partnership 7,500.00 4 163 Little Big Tots Foundation Ike Loa Program 10,000.00 44 164 Lokahi Treatment Centers Health&Fitness Program 15,000.00 45 165 Lokahi Treatment Centers Domestic Violence Intervention Treatment Programs 30,000.00 46 166 Lokahi Treatment Centers Anger Management Treatment Programs 30,000.00 63 167 Lokahi Treatment Centers Adult Substance Abuse and Mental Health Treatment Programs 50,000.00 Adolescent Substance Abuse and Mental Health Treatment 79 168 Lokahi Treatment Centers Programs 35,000.00 128 170 MALA'AI The Hawaii Island School Garden Network 25,000.00 138 •171 MALA'AI The Culinary Garden of Waimea Middle School 25,000.00 98 172 Malama 0 Puna Food Security Program 25,000.00 130 173 Malama 0 Puna Hawaii Tracker(HT) 45,000.00 124 176 Mental Health Kokua Residential Rehabilitation 15,000.00 NONPROFIT GRANT APPLICANTS FOR FY2022-23 Sort order matches separation sheet numbers(hard copies). Note that the disqualified applicants sort order are AFTER qualified applicants. 125 177 Mental Health Kokua Case Management 15,000.00 13 179 Neighborhood Place of Puna FRC-FamilyStrengthening Program 15,000.00 9 9 9 9 70 180 North Kohala Community Resource Center North Kohala Reunion 7,500.00 194 181 North Kohala Community Resource Center North Kohala Golf Park 5,000.00 202 182 North Kohala Communtiy Resource Center Ho'ola Honey Bee Relocation 7,500.00 179 184 Orchidland Neighbors Multi-Purpose Community Complex 50,000.00 18 186 PETFIX Spay and Neuter z Spay and Neuter Clinics 20,000.00 126 187 Pohaha I Ka Lani Kahuli 50,000.00 69 188 Project Vision Hawaii HiEHiE Homeless Outreach 45,000.00 143 189 Puna Canoe Club Keiki Wa'a Camp - 50,000.00 Salvation Army,a California corporation:DBA;The Salvation 82 191 Army-Family Intervention Services,The Independent Living Skills Program—East Hawaii 10,000.00 Salvation Army,a California corporation:DBA;The Salvation 84 192 Army-Family Intervention Services,The Project TLP Hilo 10,000.00 Salvation Army,a California corporation:DBA;The Salvation 85 193 Army-Family Intervention Services,The Puna Prevention and Outreach Programs 20,000.00 101 196 Society for Kona's Education&Art Art Camps for Children and Teens 5,000.00 116 197 Society for Kona's Education&Art South Kona Events&Workshops 5,000.00 100 198 Special Olympics Hawaii Special Olympics West Hawaii-General Fund 15,000.00 108 199 Special Olympics Hawaii Special Olympics East Hawaii 20,000.00 172 201 The Children's Law Project of Hawai'i Victim Options for Child Empowerment and Safety 15,000.00 Project Permanence:Guardianships and Adoptions for At-Risk 178 202 The Children's Law Project of Hawai'i Kids 10,000.00 The Salvation Army,a California corporation;DBA The Salvation 77 205 Army-Family Intervention Services Cultural Based Program 10,000,00 181 206 West Hawaii Community Health Center Inc. Outreach to Vulnerable Populations Program 45,000.00 40 207 YWCA Hawaii Island YWCA Developmental Presch000l 25,000.00 42 208 YWCA of Hawaii Island Sex Assault Nurse Examiner Program(SANE) 30,000.00 61 209 YWCA of Hawaii Island Sexual Assault Support Services(SASS) 30,000.00 -- Total 3,490,000.00 t`,«. 4, ,, H 'c`-x.- d ".f. cv':j'v -..,? o w✓r, r .y :.5 -s, i;',,,;4-7,34:.7. <"r F .iE. .hy a,Er* s e:. .c� 'n.�.,_ .,,-ye 3..= a s,. v`,5"i i t..< 1 A F�,,7,3 a t4 ote.;.The folt;:hiin"a" hcais did,not meefione•or more.a' `lication re uireinentsf alis ualified 'N 159 1 '0 Maku'u Ke Kahua Community Center Papa Ku'i'Ai 20,000.00 163 2 '0 Maku'u Ke Kahua Community Center Mala Ho'oulu'Ike 50,000.00 76 4 Alexander&Duke De Rego Foundation Water Safety&Ocean Awareness 35,000.00 102 7 Aloha Independent Living Hawaii Independent Living Program 10,000.00 208 8 Aloha Kuamo'o'Aina Kuamo'o Virtual Learning Space 50,000.00 186 12 Arc of Hilo Arc of Hilo Disability Employment-Landscape Services 35,000.00 • 2 22 Big Island Substance Abuse Council Community Outreach and Training 10,000.00 23 23 Big Island Substance Abuse Council East Hawaii Substance Abuse Treatment 50,000.00 24 24 Big Island Substance Abuse Council Hawaii Island Health&Wellness Multi-Disciplinary Treatment 20,000.00 26 25 Big Island Substance Abuse Council HIHWC Specialized Group,:Couples and Individual Therapy 50,000.00 NONPROFIT GRANT APPLICANTS FOR FY2022-23 Sort order matches separation sheet numbers(hard copies). Note that the disqualified applicants sort order are AFTER qualified applicants. 27 26 Big Island Substance Abuse Council Hawaii Island Health and Wellness Provider Training 50,000.00 28 27 Big Island Substance Abuse Council Intensive Case Management Services 50,000.00 30 28 Big Island Substance Abuse Council Ola Kino Health and Fitness Program 30,000.00 31 29 Big Island Substance Abuse Council Po'okela Vocational Training Program 35,000.00 32 30 Big Island Substance Abuse Council Therapeutic Living and Clean and Sober Housing 50,000.00 33 31 Big Island Substance Abuse Council West Hawaii Dual Diagnosis Treatment 50,000.00 34 32 Big Island Substance Abuse Council Youth Services Program 15,000.00 67 33 Big Island Substance Abuse Council Rural Wellness and Recovery For Kohala 117 34 Boy Scouts of America Hawaii Island Scouting Program-Scoutreach 50,000.00 3 50 Changemakers Community Economic Development Corporation Eve-conomics Women's Financial Empowerment 20,000.00 127 58 Equality HI Equality Hi Waiwai Connections 30,000.00 56 59 Family Support Services of West Hawaii Fatherhood Initiative 20,000.00 57 60 Family Support Services of West Hawaii Healthy Keiki 20,000.00 12 62 Food Basket Inc.,The Emergency Food Distribution Program 52 63 Friends For Fitness Friends For Fitness 50,000.00 54 65 Friends of the Future Neighborhood Place of Kona Mobile Family Outreach 30,000.00 182 70 Girl Scouts of Hawaii Girl Scout Leadership Experience-Hawaii Island 30,000.00 114 76 Grassroots Community Development Group Media Literacy 5,000.00 119 77 Grassroots Community Development Group La au'Ohana Ekolu 5,000.00 152 78 Grassroots Community Development Group Hands 7,500.00 . 38 79 Habitat for Humanity Hawaii Island,Inc. Through Shelter,We Empower 50,000.00 74 80 Hamakua Harvest,INC Grow Your Agribusiness Course Series 7,500.00 75 81 Hamakua Harvest,INC Mahi Noeau-The Demonstration Orchard at Hamakua Harvest 40,000.00 109 82 Hamakua Youth Foundation,Inc HYC Garden 10,000.00 107 83 Hamakua Youth Foundation,Inc. HYC Keiki 40,000.00 14 84 Hana Laulima Lahui 0 Ka'u Kahea Mai Ka Aina Academy 25,000.00 170 86 Hawaii County Economic Opportunity Council PRODUCE 4 TUTU 30,000.00 177 87 Hawaii County Economic Opportunity Council Transportation Program 50,000.00 207 88 Hawaii County Economic Opportunity Council Personal Safety and Care Items for Kupuna 25,000.00 176 89 Hawaii Environmental Restoration Keau'ohana Native Rainforest Restoration 30,000.00 174 90 Hawaii Institute for Pacific Agriculture Farmer Training and Workforce Development 30,000.00 193 91 Hawaii Institute for Pacific Agriculture Kupuna Care Box;Building Capacity for KFH 30,000.00 161 92 Hawaii Institute of Pacific Agriculture Kupuna Care Box;Capacity Building for KFH 30,000.00 Hawaii Island HIV AIDS Foundation dba Kumukahi Health+ 200 94 Wellness STI Testing Education and Treatment • 50,000.00 Hawaii Island HIV/AIDS Foundation dba Kumukahi Health+ 169 95 Wellness Community Food Pantry Program 25,000.00 6 99 Hawaii Keiki Museum HKM Phase 2-Exhibit Expansion 50,000.00 206 102. Hawaiian Sanctuary 501(c)3 Plant Aloha 50,000.00 L NONPROFIT GRANT APPLICANTS FOR FY2022-23 Sort order matches separation sheet numbers(hard copies). Note that the disqualified applicants sort order are AFTER qualified applicants. Waiwai Ho'opa'a:Equitable Access to Housing,Food Security,and 132 112 Ho'oulu Lahui Recreation for Families in Puna 35,000.00 158 113 Ho ola Veteran Services HF2C:Resiliency Project 25,000.00 146 127 Hui Ho'oleimaluo Puakahinano Student Program 50,000.00 153 128 Hui Ho'oleimaluo Malama 50,000.00 197 129 Hui Ho'oleimaluo Waiuli Fest 50,000.00 106 130 Hui Ho'oleimaluo Puakahinano Student Program 50,000.00 88 135 Japanese Cultural Center of Kona Consultant Fees related to Purchase of Land 50,000.00 121 136 Kahilu Theatre Foundation 2022-2023 Kahilu Performing Arts,Education,and Exhibits Season 50,000.00 155 137 KALAMAPII PLAY SCHOOL Kalamapi'i PLAY School 50,000.00 188 138 Kama'aina Hale Apartments Kama'aina Hale Community Garden 30,000.00 198 139 Kama'aina Hale Apartments KHA Community Outreach Program 35,000.00 162 151 Kona Association for Retarted Citizens DBA/The Arc of Kona Health and Wellness'for All Abilities 15,000.00 136 152 Kona Dance and Performing Arts,Inc. Youth After School and Weekend Program 25,000.00 131 153 Kona Task Force on Feeding the Hungry Meet and Eat 10,000.00 165 154 Kona Vocational and Life Education Center Kona Vocational and Life Education Center 20,000.00 72 157 Kupu Hawaii Youth Conservation Corps(HYCC)Summer Program 50,000.00 MAGICAL CREATURES OF.HAMAKUA-ANIMAL RESCUE AND 1 169 SANCTUARY Outreach&Education 25,000.00 183 174 Malamalama Waldorf School,Inc. Hawaiian Arts and Culture 10,000.00 192 175 Malamalama Waldorf School,Inc. Learning Garden 5,000.00 189 178 Multiplier Nest for Families 40,000.00 87 183 Nostalgia Music Consortium,Inc. Nostalgia Jazz.Lab 50,000.00 48 185 Pacific Tsunami Museum " Workplace Tsunami Resilience Program 20,000.00 205 190 Re-use Hawaii Hawaii Island Waste Reduction Program 35,000.00 99 194 Services for Seniors Inc. Services for Seniors 30,000.00 185 195 SHAC Foundation Agricultural Development 7,500.00 36 200 Teach For America Teach For America Hawaii—Hawaii Island Initiatives 40,000.00 The Daniel R.Sayre Memorial Foundation HFD Water Safety 160 203 The Daniel R.Sayre Memorial Foundation,Inc. Program 50,000.00 Ulu La au Invasive and Non-Native Tree Removal,Pruning and 137 204 The Outdoor Circle Chipping 40,000.00 Total 2,397,500.00